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Effect of Surgical Technique on the Microstructure and Microcirculation of the Small Intestine Stump during Delayed Anastomosis: Multimodal OCT Data.
Sovrem Tekhnologii Med
March 2022
Professor, Head of the Scientific Laboratory of Optical Coherence Tomography, Research Institute of Experimental Oncology and Biomedical Technologies; Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia.
Unlabelled: was to use multimodal optical coherence tomography (MM OCT) to evaluate microstructure and microcirculation in the proximal and distal sections of the intestine relative to the resected area in acute mesenteric ischemia.
Materials And Methods: The study was carried out using three groups of male Wistar rats weighing 270-435 g (n=18). Acute occlusive arterial ischemia of the small intestine was initiated in all animals.
Background: Obesity is increasingly prevalent disease worldwide and bariatric surgery is the most effective treatment for the most severe cases. The Roux-en-Y gastric bypass is still the most used technique all over the world and the laparoscopic approach has been preferred by surgeons with different approaches, propositions and techniques in performing the procedure.
Aim: To report the surgical aspects of the systematization and results of the simplified laparoscopic gastric bypass (Brazilian technique).
Internal hernia after gastric bypass: a new and simplified technique for laparoscopic primary closure of the mesenteric defects.
J Gastrointest Surg
March 2012
Department of Surgery, Aleris Hospital, Fredrik-Stangsgt. 11-13, 0264, Oslo, Norway.
Background: Bowel obstruction due to internal hernia is a well-known complication of laparoscopic Roux-en-Y gastric bypass (LRGB). Increasing evidence supports primary closing of the mesenteric defects, but controversy continues about surgical technique of systematic closure. This paper reviews our experience with internal hernia after LRGB and describes a new method of preemptive closure of the mesenteric defects.
View Article and Find Full Text PDFLaparoscopic Roux-en-Y gastric bypass with 2-metre long biliopancreatic limb for morbid obesity: technique and experience with the first 150 patients.
Obes Surg
January 2005
Department of Surgery, Landspítali University Hospital, Reykjavik, Iceland.
Background: Laparoscopic Roux-en-Y gastric bypass (RYGBP) is being performed widely as a treatment of choice for morbid obesity. We present our method and experience with the first 150 consecutive cases of laparoscopic RYGBP with a 2-m long biliopancreatic limb (BP-limb).
Methods: Between November 2001 and November 2003, a prospective analysis of 150 patients was performed identifying technical success and complications.
The authors analyse their experience with ureter implantations into a small intestinal retaining reservoir--both direct and antireflux. From 1994 to 2004 orthotopic replacement of the urinary bladder (UB) with an ileal segment was performed in 62 patients (59 males, 3 females) for UB cancer (n = 55), microcystis (posttraumatic, radiation-induced, tuberculous) (n = 7). Orthotopic replacement of the UB was made according to VIP (vesica ileale Padovano) technique with creation of antireflux uretero-enteroanastomoses by Le Duc (group 1, 43 patients, 82 anastomoses) and Hautmann technique in modification of Lippert-Theodorescu (group 2, 14 patients, 28 direct uretero-enteroanastomoses).
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